Organization
PLASTIC SURGERY GROUP OF ATLANTA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PHILIP CONNORS III MD (CEO)
(404) 348-4456
Entity
Organization
Contact information
Practice address
755 MOUNT VERNON HWY NE STE 250, ATLANTA, GA 30328-4290
(404) 348-4456
Mailing address
755 MOUNT VERNON HWY NE STE 250, ATLANTA, GA 30328-4290
(404) 348-4456
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60249
MEDICAL LICENSE
GA
Enumeration date
09/26/2020
Last updated
10/09/2020
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